智慧化自我管理处方在克罗恩病病人中的应用OA
Application of intelligent self-management prescriptions in patients with Crohn's disease
目的:探讨智慧化自我管理处方在克罗恩病病人中的应用效果.方法:2024年3月—2025年3月选取110例克罗恩病病人作为研究对象,采用随机数字表法将病人分为观察组与对照组各55例.对照组基于智能平台实施常规疾病教育与支持;观察组在对照组基础上增加智慧化自我管理处方干预,该处方依托智能管理平台嵌入的智能决策系统,结合病人个体化临床数据(如疾病活动度、用药史、营养状况、并发症等)自动生成,涵盖评估、药物管理、个体化营养方案、症状监测、复发预警与教育、并发症管理(如肛周病变)等关键维度.干预3个月后,比较两组病人的疾病活动度[包括克罗恩病活动指数(CDAI)评分、内镜评分]、复发率、治疗依从性及自我管理行为水平.结果:干预3个月后,观察组病人的疾病活动度指标(CDAI评分、内镜评分)、复发率明显低于对照组(P<0.05),而治疗依从性及自我管理行为得分均明显高于对照组(均 P<0.05).结论:智慧化自我管理处方干预可有效提升克罗恩病病人的治疗依从性和自我管理水平,从而改善疾病活动度控制,降低复发风险.
Objective:To explore the application effect of intelligent self-management prescriptions for Crohn's disease patients.Methods:From March 2024 to March 2025,a total of 110 patients with Crohn's disease were selected as the research subjects.Based on the random number table method,the patients were divided into an observation group and a control group,with 55 cases in each group.The patients in control group received routine disease education and support based on an intelligent platform.On the basis of the control group,the patients in observation group added intelligent self-management prescription intervention,which relied on the intelligent decision-making system embedded in the intelligent management platform and was automatically generated in combination with individualized clinical data of patients(such as disease activity,medication history,nutritional status,complications,etc.),covering key dimensions such as evaluation,drug management,individualized nutrition plan,symptom monitoring,recurrence warning and education,and complication management(such as perianal lesions).After 3 months of intervention,compare the disease activity(including CDAI score,endoscopic score),recurrence rate,treatment compliance,and self-management behavior level between the two groups of patients.Results:After 3 months of intervention,the disease activity indicators(CDAI score,endoscopic score)and recurrence rate of the observation group were significantly lower than those of the control group(P<0.05),while the treatment compliance and self-management behavior scores were significantly higher than those of the control group(both P<0.05).Conclusions:Intelligent self-management prescription intervention can effectively improve the treatment compliance and self-management level of Crohn's disease patients,thereby improving the disease activity control and reducing the risk of recurrence.
宋佳男;余赛婷
310000,浙江大学医学院附属第二医院310000,浙江大学医学院附属第二医院
智慧化自我管理处方克罗恩病自我管理
intelligenceself-management prescriptionCrohn's diseaseself-management
《全科护理》 2026 (16)
3007-3011,5
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